Project Management Plan (PMP)
Project Identification Number: __________________
PIN
Project Title: ____________________________________________________________________
Name of Project
Location:_______________________________in ____________________________County
Municipality
Basic description of work to be accomplished:____________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Administering Agency: _________________________________________________________________
Responsible Local Official:______________________________________________________________
Name, Title
Address: _______________________________________________________________
Street Address
_______________________________________________________________
City, State, Zip
Project Manager: _______________________________________________________________
Name, Title
Address: _______________________________________________________________
Street Address
_______________________________________________________________
City, State, Zip
Phone: (____)_______________Fax Number: (____)____________________________
E-Mail Address: ______________________@_______________________________________
Program Manager: _______________________________________________________________
Name, Title
Address: ______________________________________________________________
Street Address
_______________________________________________________________
City, State, Zip
Phone: (___)_________________ Fax Number: (___)____________________________
E-Mail Address: ______________________@________________________________________
Sponsoring Agency: ______________________ _________________________________________
Agency Name Key Contact Name, Title
Address:________________________________________________________________
Street Address
________________________________________________________________
City, State, Zip
Phone: (____)__________________ Fax Number: (____)_________________________
E-Mail Address: ______________________@________________________________________
Funding Breakdown
Total Federal
Phase Funds Share Non-Federal Source of Non-Federal Share
Project Phase
Start ($0.000M ($0.000 Share (cash, grants, donations, volunteer labor,
(Mo/Yr) ) M) ($0.000M) etc)
Preliminary Design
Detailed Design
ROW Incidentals
ROW Acquisition
Construction
Construction Inspection
RR Force Account
Utilities
Betterments
TOTAL
Anticipated Work Responsibilities:
Consultant to Administering Consultant retained
be procured Agency or by Administering
Project Phase Other (identify) Not Applicable
for this Sponsoring Agency or
project Agency Staff Sponsoring Agency
Preliminary Design
Detailed Design
ROW Incidentals
ROW Acquisition
Construction
Construction Inspection
-2-
RR Force Account
Utilities
Betterments
Signature: ________________________________________________ Dated: ___________________
Responsible Local Official
-3-
Instructions for Completing the Project Management Plan (PMP)
The purpose of the Project Management Plan (PMP) is to document a strategy for implementing a given project and indicating a clear
assignment of authority and responsibility. These details will be used to prepare a State/Local Agreement.
Project Identification Number (PIN): Department of Transportation=s six-digit identification number.
Project Title: Official project title.
Location: Village, Town, or City; and County.
Basic Description of Work to be Accomplished: Brief description of project, including all improvements to be made.
Administering Agency: Name of the organization having overall responsibility for development of the project.
Responsible Local Official: Name, title, and address of the Responsible Local Official (RLO). : The Responsible Local Official (RLO)
must be a member of the Administering Agency (e.g. - a consultant cannot be a RLO). The Responsible Local Official should be the
top municipal official or top official of public entity with ownership of the project facility with authority to enter into an agreement with
NYSDOT to progress a transportation project and grant project approvals. The RLO is generally responsible for signing key project
documents and granting key project approvals. Examples include signing the project agreement, granting design approval, signing the
Right-of-Way Clearance Certificate, approving the Construction Management Plan, granting contract document approval, recommending
construction contract award, accepting construction contracts, and signing reimbursement requests. Generally, the Responsible Local
Official should be the same person for all locally-administered projects for a given Administering Agency.
Project Manager: Name, title, and contact information of the Project Manager. The Project Manager may be a member of the
Administering Agency’s organization or a consultant designated to act in this capacity for an agency; a consultant hired by the
Administering Agency to perform architectural / engineering (A/E) work cannot be the Project Manager. The Project Manager is
generally responsible for the day-to-day oversight of the project work (including work performed by a duly selected architectural /
engineering firm), and for transmitting project documents and correspondence to the Region 8 Local Projects Unit.
Program Manager: Name, title, and contact information of the Program Manager. The Program Manager is generally responsible for
the oversight of the Administering Agency’s federal aid program, including transmitting project cost and schedule changes to the Region
8 Local Projects Unit and sharing project and/or process information with the Administering Agency’s project managers. Generally, the
Program Manager should be the same person for all of an Administering Agency’s locally-administered projects.
Sponsoring Agency: Name of Sponsoring Agency and key contact information. A Sponsoring Agency is required for all projects where
the Administering Agency is NOT a municipality or State Agency. For Transportation Enhancement Program (TEP) projects, this
information should be consistent with the project application.
Funding Breakdown: Proposed project funding by project phase
-4-
Phase Start: Date phase to be started.
Total Funds: Estimated total dollar amount, in millions, for each phase.
Federal Share: Dollar amount, in millions, of federal funds for each phase. (Typically 80% of Total Funds)
Non-Federal Share: Dollar amount, in millions, of non-federal funds for each phase. (Typically 20% of Total Funds)
Note: Federal Share + Non-Federal Share should equal Total Funds .
Source of Non-Federal Share: Cash, grants, donations, volunteer labor, etc.
Anticipated Work Responsibilities: Organization responsible for performing each phase of work. Check as appropriate.
Signature: The Responsible Local Official signs and dates this form.
Return completed form to: Carolyn M. Ryan, P.E.
Region 8 Local Projects Unit
NYS Department of Transportation
Eleanor Roosevelt State Office Building
4 Burnett Boulevard, Poughkeepsie, NY 12603
Questions on how to complete this form can be directed to Lori Ann Jones at (845) 431-5774.
-5-